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HomeMy WebLinkAboutBUILDING APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: . Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: PROPOSED It PROWMENT LOCATION. Address: 7204 Fort Walton AVE Fort Pierce, FL 34951 Property Tax ID #: 1301-612-0154-000-0 Site Plan Name: 7204 Fort Walton AVE Fort Pierce, FL 34951 Project Name: Eliasim Hernandez ; Elda Hernandez Replace 6 Windows W/Impact. Size for size. Lot No. 2 AND 3 Block No. 125 Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 10,500 Utilities: —Sewer —Septic Building Height: Pitch €OWNER LES I E: CON RA " R� Name Eliasim Hemandez ; Elda Hernandez Name: BURNETT WAYNE Address: 7204 Fort Walton AVE Company: FHIA, LLC City: Fort pief State: FL Address: 3044 SW 42 ST Zip Code: 34951 Fax: City: HOLLYWOOD State: FL Phone No. 2 :47 • S31 Y � Zip Code: 33312 Fax: 407-4728380 E-Mail: Phone No 954-7924415 Fill in fee simple Title Holder on next page ( If different E-Mail odandopermits@fhaproducts.com from the Owner listed above) State or County License Fl R value or construction IS �iZ5W or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable Name: Name: Address: Address: City: City: Tip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that 1 will, In all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ICCROF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE ORE THE FIRST INSPE OU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A ORNEN BEFORE RECOR TICE OF COMMENCEMENT_" X A,4/-;a Signature o Owner/ Lessee/Contractor as Agent fa Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF <r Zcwar STATE OF FLORID # L - COUNTY OF_ ., .7 The forgoing instrument was acknowledged before me The forgoing instrum t was acknowledged before me this __&tlay of /144 2172,� by this 2<5 day of 20 6% by / )_ /,--, '��7 ,Ve -r ' �4 1"4.e4 4�— /,.- S AIV, "'7 "!� Z_ 1, , Name of person making statement. Name of person makings Pers al Known I OR Pro, �oWI �W r4.tion Ament. Personally Known OR Produced identification To entification g VIE /r/y'�, Typeof Identification d ga�,0NN\ �, edy c' C3 w multaUe-i A MERCADo ignature o ary Publi4w,Staficrof Flo r, ©q Signatur o "Ii;Mt ftd PGO957 `� '; a gib: ' a Commission No. ! •.; 1ary��. _W91 EXPIRES April 19.2021 C is ion (Seal `F�` .:�.:cr • • ..... ��.�, owe REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.